Breitenbach, Ray Alvin
Breitenbach, Ray Alvin is an individual health care provider with primary practice located at 3901 Highland Rd Suite D, Waterford MI 48328-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Breitenbach, Ray Alvin can be contacted via phone (248) 682-3070.Contact Information
Primary practice address
3901 Highland Rd Suite D
Waterford MI 48328-2162
Phone: (248) 682-3070
Fax: (248) 682-3626
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301404572 | Michigan |
Profile Details
NPI number | 1679541940 |
---|---|
LBN Legal business name | Breitenbach, Ray Alvin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2006 |
Last updated | Jun 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679541940 | NPPES |
Michigan | Other | 700F37550 | BCBSM |
Michigan | MEDICAID | 104680165 | BCBSM |
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